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Remote Rn Case Review Jobs in Charleston, WV (NOW HIRING)

Pharmacist

Charleston, WV · Remote

$44.33 - $92.07/hr

Remote Position Pay Range: $44.33 - $92.07 Position Summary The Clinical Pharmacist provides ... Perform therapeutic reviews and provide evidence-based recommendations to prescribers. * Assist ...

Review, approve, and communicate root cause and CAPAs to stakeholders. * Perform effectiveness ... Retrospectively evaluates telephone skills and case reports to ensure compliance standards are met ...

Draft, review, and negotiate employment-related agreements, including offer letters, employment ... Direct outside counsel to ensure efficient case management, high-quality legal representation, and ...

The Medical Coding Specialist may also be assigned to audit physician, nurse practitioner and ... Performs E&M and CPT coding review and other projects related to physician coding compliance in ...

The Medical Coding Specialist, under general supervision, performs daily charge review of visits ... The Medical Coding Specialist may also be assigned to audit physician, nurse practitioner and ...

Senior Lease Analyst

Charleston, WV · On-site +1

$32.11 - $37.49/hr

Provide review, guidance, and approval of Post-ETL/Lease Analysis updates to ensure data accuracy ... For candidates outside of San Diego this will be a remote position. The hourly pay range for this ...

Showing results 21-40

Remote Rn Case Review information

See Charleston, WV salary details

$18

$46

$77

How much do remote rn case review jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote rn case review in Charleston, WV is $46.20, according to ZipRecruiter salary data. Most workers in this role earn between $34.33 and $55.82 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What cities near Charleston, WV are hiring for Remote Rn Case Review jobs?

Cities near Charleston, WV with the most Remote Rn Case Review job openings:

Provider Enrollment Business Analyst - Remote WV

Gainwell Technologies

Charleston, WV • Remote

$40K - $50K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago


Key responsibilities

  • Translate client business needs into requirements for technical teams and communicate them in non-technical language

  • Monitor queues and reports for the call center

  • Analyze and document systems requirements and business processes, and verify that client requirements are incorporated into system design


Gainwell Technologies rating

7.9

Company rating: 7.9 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

130th of 247 rated software companies


Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

As a Provider Enrollment Business Analyst - Remote WV, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position.

Your role in our mission

Help create the power in Gainwell's processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.

  • Communicate with clients and translate your client's business needs from the requirements generated for our technical teams into simpler non-technical language
  • Monitor queues and reports for the call center
  • Perform extensive research independently and review data while working on multiple projects
  • Help your team analyze and document systems requirements and business processes
  • Build basic conceptual data and process models to quantify the potential impact of changes to the system
  • Verify that client requirements are built into the system design by executing and analyzing basic test case scenarios from existing test plans 
  • Follow written policies, operating and maintenance instructions, procedure manuals, and government/healthcare guidelines
  • Be part of technical reviews and inspections with senior leaders to ensure the final product meets client expectations
  • Expand your technical skills in software applications such as Microsoft Excel, SQL or Visio to enhance your expertise in this role
What we're looking for
  • High School Diploma or equivalent
  • Basic analytical and problem-solving skills to assess business needs and triage bugs and defects
  • 2-3 years of working experience in healthcare, enrollment, credentialing, or related fields
  • Basic understanding of software such as Microsoft Office
  • Clear and effective oral and written communication skills with an ability to work in a professional team environment
What you should expect in this role

This is a remote position that requires candidates to reside in West Virginia. 

Assessment Requirement: As part of our interview process, candidates will be required to complete a skills and competency assessment before advancing to the next stage of the selection process.

Employee Benefits & Perks:

  • Health benefits (medical, dental, and vision) begin on Day 1 of employment.
  • 401(k) with company match and additional benefits become available within the first few months.
  • Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
  • Career growth and advancement opportunities are encouraged and supported.
  • A company-provided computer is supplied for work use.

The deadline to submit applications for this posting is September 30, 2026.

#LI-REMOTE #LI-PP1 #LI-CM1

The pay range for this position is $40,000 - $50,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.


What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US